← scorecard
Publishedgenerated 2026-05-30T11:25:54Z

tremelimumab at activation barrier; commitment threshold, addressing setpoint loss

tremelimumab (ctla4 brake release) acts at the activation barrier; commitment threshold step of the cancer-immunity cycle. The failure mode is setpoint loss: homeostat loses memory of its setpoint. System drifts without correction.

C4·I3
composite 0.59structural 0.80evidence 0.41novelty 0.50

What this is

The Living Scorecard is Encounter's open record of structural predictions. Each hypothesis names a candidate intervention, where in the cycle it is predicted to act, the failure mode it is predicted to address, and the evidence available when the prediction was made.

Predictions are locked with timestamps before they can be tested. Encounter generates them daily, many more than any one person can chase, so the field can see what the framework claims structurally, ahead of the data. Some will hold. Some will be refuted. Both stay on the page. The point is that each prediction is committed before the answer is known, so the data that arrives later can confirm or refute it.

Structural argument

At the activation barrier; commitment threshold step of the cancer-immunity cycle (capacitor regime, position P4), tremelimumab acts via ctla4 brake release. The failure mode is setpoint loss: homeostat loses memory of its setpoint. System drifts without correction. The intervention's regime-type class lines up with the position's regime, and failure_setpoint_loss belongs to that regime's failure set.

  • rule_r13 (required) — Combinatorial candidate is grounded in R13's position-to-state table, which determines which interventions are structurally addressable at which positions.

Substrate

Domain
domain_cellular_biology
Cycle
cycle_l4_canonical
Position(s)
position_p4
Failure modes
failure_setpoint_loss

Evidence at generation

PubMed53 hits

"tremelimumab" AND "cancer immunotherapy"

  • PMID 29778737 (2018) Lancet Oncol

    Cancer immunotherapy efficacy and patients' sex: a systematic review and meta-analysis.

  • PMID 39447408 (2024) Int Immunopharmacol

    A comprehensive review of immune checkpoint inhibitors for cancer treatment.

  • PMID 39514829 (2024) Neurology

    Immune Checkpoint Inhibitor Myopathy: The Double-Edged Sword of Cancer Immunotherapy.

  • PMID 37726418 (2023) Nat Rev Clin Oncol

    Biomarkers for immunotherapy of hepatocellular carcinoma.

  • PMID 37596898 (2023) Chin Med J (Engl)

    Efficacy and safety of immune checkpoint inhibitors for advanced non-small cell lung cancer with or without PD-L1 selection: A systematic review and network meta-analysis.

ChEMBLNo mechanism match

Targets: CHEMBL2364164

inhibitor

ClinicalTrials.gov5 trials

tremelimumab cancer immunotherapy

  • NCT01034787PHASE2 · COMPLETED

    Uveal Melanoma

    Primary: Progression-free survival at 6 months after initiation of CP-675,206

  • NCT03132467EARLY_PHASE1 · COMPLETED

    Anatomic Stage II Breast Cancer AJCC v8

    Primary: Feasibility of Enrolling 15 Patients Within 2 Years

  • NCT03426657PHASE2 · COMPLETED

    Locally Advanced Head and Neck Squamous Cell Carcinoma

    Primary: Assessment of the number of participants receiving the protocol treatment until cycle 6 of antibody treatment

  • NCT06058663PHASE1 · RECRUITING

    Locally Advanced Intrahepatic Cholangiocarcinoma

    Primary: Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability) (Cohort 1)

  • NCT02535078PHASE1,PHASE2 · WITHDRAWN

    Malignant Melanoma

    Primary: Phase 2: Objective Response Rate (ORR)

Status timeline

  • Draft2026-05-30T11:27:14Z

    Generated by combinatorial walker (v0.1.1; verb_target-aware, sub-regime failures). Awaiting operator review for the daily top-5 batch.

    by system

Tags

confidence:4impact:3generation:combinatorialnote:top5-batch